Medial Approach for the Mastopexy with Breast Implants. (MAMBI)

Abstract

Background and Objective: Describes a technique with an initial approach into the breast in the middle line, using the superior pedicle flap narrated by Arie, and the implant is positioned below the muscle producing a greater breast projection, makes the Mastopexy be more durable. Methods: Was performed77 Mastopexy between 2010 and 2018, with Medial approach for the Mastopexy with breast implants (MAMBI). Twenty eight round retropectoral implants were applied using the superior pedicle flap. Results: Medial approach for the Mastopexy with breast implants in unique time in both breasts, to avoid areolar flap currently not recommended. All of them had ptosis in different degrees. In all cases we obtained good projection and adequate volume increase. Conclusions: The Mastopexy techniques do not have to include the submammary fold, the most compromising is the submammary scar, avoid it with the Medial approach for the Mastopexy with breast implants. And with the technique of superior flap the resultant must be with an increased upper pole, so that during the evolution process it decreases proportionally to the lower pole.